Digital Aid to Health Equity
"The absence of systematic disparities in health (or in major social determinants of health) between social groups who have different levels of underlying social advantage/disadvantage" (Solomon & Orridge, 2014, p.62)
What is health equity?
The gap between those who have access to health information and communication technology and those who do not have access to such technology. (Ball, C. et al., 2017, p.1169)
What is Digital Divide?
Designed to enable some aspect of patient engagement with and/or management of health information that is accessed and shared using a web-based system” (Hemsleya, 2017, p. 3)
What is Personal Health Record?
Includes patient private record of healthcare history that can be accessed between institutions electronically by the healthcare team versus an office-based record system within one institution. (Understanding EHRs, EMRs and PHRs, 2019).
What is Electronic Health Record versus Electronic Medical Record
Social media used to remove geographic and physical barriers to accessing public health promotion messages and resources (Welch, Petkovic, Pardo Pardo, Rader, & Tugwell, 2016, p.63)
What is a digital solution to equity?
Individuals who are without access to mobile phones and information communication technology can include, the elderly, low income households, indigenous peoples, immigrants and refugees, rural populations, and many more (Vázquez, Sexto, Rocha, Aguilera, 2016, p.1)
What are the groups most vulnerable to digital divide?
For patients with a chronic condition such as diabetes or asthma, patients feel they benefit from a PHR as they can monitor their condition which makes them feel empowered (Hemsleya, 2017, p. 3).
What is benefits of PHRs for patients?
Benefits include patient safety by reduction of adverse drug events, improving interactions and communications between providers and patients, improved health outcomes when used for preventative care in chronic disease and security of data in private, confidential record (“Benefits”, 2019).
What is the benefit of EMR and EHR for the patient?
Social media can engage difficult-to-reach individuals with design implementations that span gaps in literacy and education (Welch, Petkovic, Pardo Pardo, Rader, & Tugwell, 2016, p.73)
What is social media used to fill health gaps?
For these particular individuals there is a digital divide due to language barriers, and decreased readiness of information technology available when they arrive in a new country. The government does NOT supply these individuals with a device because it is not a basic need for survival. (FOL Group 12, in-class discussion post, Week 11)
What are the barriers of refugees in the digital world?
Studies have shown that some individuals using PHR’s have a lower health literacy and computer competency (Kim, 2012)
what is barriers to PHR?
Allows easier communication with other healthcare providers who may share the same patients and are part of the interprofessional team, and anyone else with the legal right to view client information (Simon, 2015, p.21).
What is the meaning of EMR and EHR for nurses?
Those without access to internet or lacking digital technology skills and literacy (Welch, Petkovic, Pardo Pardo, Rader, & Tugwell, 2016, p.72).
What is who is excluded from the benefits of social media health equity?
In the context of health communication, the lack of access to information communication technology can often worsen existing disadvantages already experienced by vulnerable populations. Inequities in health communication can contribute to health disparities, and health disparities might also drive communication inequities (Borg, Boulet, Smith & Bragge, 2019, p.1321).
What is the influences on patient health?
A PHR can facilitate communication between the patient and the nurse. It can be a simpler way for patients to communicate and ask questions to clarify a treatment plan which can improve the relationship (RNAO, 2018)
What is the meaning of PHR for nurses?
Improve accuracy, organization, and presentation of medical data. It can also waste time, ruin communication between a nurse and a client and constrict nurses to a template of questions, being detrimental to therapeutic relationships (Rathert, Mittler, Banerjee & Mc Daniel, 2017, p.52).
What is the interprofessional care advantages and disadvantages?
Advocating to eliminate inequities.
What is the responsibility of all nurses as recognized by the Canadian Nurses Association?
Responsibility to advocate for enhanced digital technologies to reach at risk populations with health information that is accessible, persuasive, relevant, and culturally and linguistically appropriate so as to be responsive to the socio-cultural context of various communities. (Abroms, et al., 2019, p.222) .
What is nurses advocating to decrease the digital divide for patients?
Patients with a socioeconomic disadvantage and low level of text, technical and health literacy may not have the same advantages of a PHR compared to other patients (Showell, 2017)
What is who is excluded from PHR benefits?
Surveillance of infectious diseases, management of chronic diseases (diabetes), and provision of coordinated and patient-centered care (Kruse, Stein, Thomas & Kaur, 2018, p.2).
What is the effect on the public from EMR/EHR?
eHealth systems such as personal health records and electronic health records would allow for health equity by spanning gaps in geography and health literacy.
What is the connection between social justice and eHealth records?